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HomeMy WebLinkAbout06-07-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLV~~NIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Joan G Riordan File No: ~~ - ~ ~ `~.~ ~,h ~''~ L a/k/a: Marv Joan Riordan (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: April 14, 2012 Age at death: 86 Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 29 Blue Mountain Vista, Mechanicsbure PA 17050 Silver Sorint=_ Twn Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 100 Mt. Allen Drive, Mechanicsbure PA 17055 Mechanicsbure Cumberland PA Street address, Post Office and Zip Code City, Township or Borough Couinty State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 1,000.00 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsy!vania ........................ Personal property in County $ Value of rea/estate in Pennsylvania ......................................................... $ 10,0()0 00 TOTAL ESTIMATED VALUE.... $ 1 1.000.00 Real estate in Pennsylvania situated at: 29 Blue Mountain Vista Mechanicsburg PA 17050 Silver Spring Twp Cumberland (Attach additional sheets, if necessary./ Street address, Post Office and Zip Code City, Township or Borough County © A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) avec(s) he/she/they is/ace the Executor(s) named in the last Will of the Decedent, dated November 4, 1991 and Codicil(s) thereto dated (none! State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS O EXCEPTIONS © B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d. b. n., d. b. n. c. t. a., pendente life, durante absentia, durante minoritate If Administration, e.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list a~f heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (iiFany) and heirs (attach additional sheets, if necessary): i~ 0 Name Relationshi Address ~ 'V 'C ... C , 2 ~ U ,',: ~ t ~ ~~ r: ~ v {~_ ~.•~ .. ~~ ,-~ €_'~ '~ ~ i 17 i~_~ .a.~ .... -7'Z . ~! Form RW-02 rev. l0/!1/201! Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } . _ ~ Only- { mr ,^t cc ~+ ~,%.f ~ .af., i L.:? .. a ~_.~.,5 ~fll2Jt~Fi-7 AMIt:33 Petitioner(s) Printed Name Petitioner(s) Printed Address ~ai.C ' 'a , .,~ James T. Riordan J~ PO Box 381606 Cambrid e MA 02238 The Petitioner(s) above-named sw,ear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best ofthf: knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dec dent, the Petitiop~r(s) w~ well and ~ ly adtt~nister the estate accordyng to w. Sworn to or affirmed and subscribed before ~ ~J ~ ,~~.~` ,w, Date ~ ~ ~7 ;-~C ~l me this_ ~_ day of ~;L i , ~U ~ Date By. ~~ ~ ~_~~~. ~_ ~ `~~~)l:( L~.f/~ )~ t~~~1 `~ Date For the Register Date BOND Required: Q YES ~NO FEES: Letters ..................... . ( Itl,, )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ......,. Automation Fee . .............. C ~~- JCS Fee . .................... . ~ ~ J (I TOTAL ..................... $ ~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of Joan G Riordan File No: ~ ~ - i ~ -O~ j,' 1-,~(,`~ a/k/a: AND NOW, k i ~~ ~ ) (,~ 02 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters 7-~<~u;rtil ~~, r ~ are hereby granted to ~~~~tY~ Q ~ ~]~ (~ 1 ~;~~~ ~ ~ "'~ in the above estate and (if applicable) that the instrument(s) dated ~ ~ - ~-] -_ 1 CZ ( ~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent .alt l'.Y~~ c ~~~ -~~~ ,~ ~C.~YX L,; ,t; , ,. Register of Wills Form RW-02 rev. l0/10201 ! 2 Of 2 t~t3C1AL REGISTR~IR'S ERTIFI~'ATIC~N ;U1=r ~E~~~a~~-~ ~~VI~RNMlVG: Mt is illegal to duplic~ ~^ t~r~ -~~r~"'Y ~t~ ~haa~t~sl^~i~t c(~• ~a:~c1~~,~~r~~.,,~.I t`:' ~;y- lC1i-, :rr ELl l'i':1Ct, ~, ('~'f=-' ~'~ r~ lv i• ,,,il tut , • t ~~~~~' ~~~ t ~, t i .. 1, i i '. l i ,i` , , ; ;~ ~ 1 ~ ,v- ~ ~: i s ~ lr ~ ,u R' ~~ -_ _-._ _.. - -- ._. - .~. ~ 4 y S - :i aC ,.~. ... pe/Print in COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT Of HEALTH • VITgL 0.ECDROS CERTIFICATE OF DEATH 1. Decedent's Le{al Name (First, Middle, Lafl, Sufflal 1 Sea 3. Social Security Number >. Date of Death IMO/Day/Yr) (6Pe11 Moj Dori io eEnale 156-14-6830 Aril 14 2012 Sa. Age-Last Birthday IYrsj 9b. Under 1 Year Sc. Untler 1 Di 6. Date of Birth (MO/D ay/Year) (Spell Monthl )a. Rlrthplace ICILY and State pr foreign Country) Months DaYi Hours Minutes Newark NJ 86 May 1Y 1925 m. Rlrtnvlattlcnpmvl Fssex Ba. Residence (State or Forclgn Country) eb. ResWence I6treet and Number ~ Inclvtle Apt Nol g<. Dltl Decedent Uve In a Townshlpi PA 29 Blue Mountain Vista v[s. e<ttelnt lN<e in Silver $prina two. ee. Rlsb<nttlcpNnryl Qunberland &. Refldence 1210 Codel 17050 ^N0, tleceeent lured within limits o/ 9. Ever In US Armed Fortts) 30. Marl[al5[atus at Time Pf DeaM ^ MaMed Al Widowed 11. 6urvNing Spouu i Name (I(wife, gWe name prior to tint mamlage ^Yes ~f NO ^Unkriown ^DNOrcetl ^Never Married ^Unknown 11. Father's Name IFirrt, Mbtlle, Vs[, 9ufflKl 13. Mother's Name Prior to Firs[ Marriage (First, Middle, lastl Thanes Francis Guthrie Sara Marie Brennan 1>a. InformanHS Name 1[b. R[latlonship to Decedent 1><. Informan[4 Mailiry Addreu I6meet and Number, firy, Slate, 21p [ode g James T. Riordan Son G ......................................................... ...................... lsa. v ap! o Dlat Pn y one .... ...... . .. '_u YYYV If DeaM Occurred In a NosPital: y Inpatlent : . ... .. ..... ........................ ... MY4Y R Death ~j rretl Somewhere Ober Than a Hospital: y Npipke Facility C) Decedent's Ho ' I. u' Emergency Room/Outpatient 0 Dead on AMVaI ~ [~ Mvriln{ Home/long-Term Care Faclllry Other (SpeciM V 19b. facility Name III not Inithution, {Ne street antl number' Gss'rgy{ Vt Li.~G2 19c. City or Tawn, State, a d 21 Code lSd County of Death Fvl ECflnn/~c.S~IJKG- r ~ l7cT.s3- ti'blvlGx/Il't(jc~ - y 16x. McMOe of Dlspositbn ~+ Burial ^ Cremation ]6b. Dete of Disposition I&. Place at Disposition INam<o/cemetery, crematory, Dr other place) r 8 ^R<mpva rrom stare ^DPnanon 4/29/201$ Gate of eaves Cemet ~` ~' ~ ane.lsperiryl Y - 2 I6d. LocaHOn of Olfpefitbn ICIry or Town, State, and 2ip1 3)a. Signa~ f S! or Person in Charge of Interment I)b. license Number 9 Mechanic PA 17055 / FD 013239 L E 1)c. Name and Com0lete Address of Funeral Faclllry Neill Funeral H n 1g. Decedent's Education -Check the boa that best desMbes the 19. Decedent of Hispanic Origin -Check the 2D. Decedent's Race-Check ONE OR MORE raw to indicate what f= highest degree or level of school completed at the time of death. boa that best describes whether the Decedent the decedent considered himull or hersell to be. ^ 8th grade or less Is Spanish/HlsOanlc/Latlno. Check th<"NO' ~ White ^ Korean ^NOdiDloma, 9th-12th grade bov l/tlecedentii not6panish/Nispanic/Latino. ^glack or African American ~Ye[namese High school {radua[e pr OEO completed ~Np, not 6panbh/Hispani4tatinp ^ American Indian or Alaska Native ^ Other Asian Q Some college credit, but no degree ^Yes, Mevican, Mevkan gmerican, Chicane ^ Asian Indian ~ Native Hawaiian Associate degree le.g. M, AS) ^Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro QJ Bachelor's degree le.{. 8A, A8, BSI ^ Ves, Cuban ^ Fllipirro ^ Samoan Marter's depee Ie.e. MA, MS, MEng, MEtl, MSW, MBgI Q V<s, other Spanish/HlspaniA/tatino ~ Japanese ^ Other Pacific Islander ^ Doctorate le.g. PhD, EDD)or Professional degree fSpeci/y) _ ^ Other lSpeciNl_ .. MD DDS DVM Ll0 1D 21. Decedent's SIn11e Race Sell-Desl{natbn ~ Check ONLY ONEto inelcate what the decedent consdered himself or herself [o be. 22a Decedent's Usual OccuWtion -Indicate type of work WM1lle ~ lapaneu ~ Samoan done during most of working life. DO NOT USE RETIRED. Black or A/HCan gmerican ~ Korean ~ D[her Pacific Islander HoEElenaker gmerican Indian Pr Alaska Native ^ Vietnamese ^ Don't Knpw/Nat Sure Asian Indian ^ Other Asian ^ Refused 116. Kind of Business/Industry ^ CRineu ^ Native Hawaiian ^ Other I$plClryj OWE1 Home ^ fmpmo ^ GNamanian or cnampnp ITEMS 23a - 23d MUST pE COMPLETED 13x. Date Pronounced Oead (MO/DaY/Yrl 23b Signature of Person PronO ncln [h IDnly when aD011cable 13c. license Number <a gY PERSON MMO PRONOUNCES OR /2 ~ / ~ / ~ ~~` ///~~I ~~ t Fi j ,~ 7,1 ~ /Y / L ~ CERTIFIES DEATH (/T~ ~O~ +C d .T J ` 2>. TI a of Death (/~-[mil 1 13d. Date 51{netl IMO/ aY/Yr) I~ -y C sy- r a P ~ 25. Was Medical Eaamin r o Coroner Cpntatteet ^ Y No CAUSE OF DEATH ~ Approvimae 26. Part I. Enter the chain of events--diseases. Injvrks, pr camphcanons--that directly caused the tleath. 00 NOi enter terminal events such as careia<arrest Interval: respiratory arrest, or ven[HCUlar fibdllatlon w it hout show i n gthe etiology. DO NOT AB80.EVIATE. Enter only one cause onallne. Atld atldhional lines if necessary Onset to Death -~ ~^ ~~ ~~33 lI~~ / F IMMEDIATE UUSE ----~-~--~~----> a._/75.L IL' W! ~/D/I/L R°.P IY /[/ E'LLlI U/~ 'awes __ Final disease or condition Due to ter asacon eeuence oft'. Y resulting In death) b. End Stuae CJrruY1/cG'bSlncrr~,rG r2cQmona/~ G(c1Cf2Se p. s Sepuen[ially list mnditlons, Due tp for as a com<puence pft: 11 any, leadin{ to the cause listed Dn Ilse a. Enter the UNDERLYING GUSE Due to for as a consepuence pf): (aisease or inlury [hat F Inifla[ed the events rcfulting d. In eenhl IwsT. Dpe m for as a consep~ence oR 26. Part ll.Enterotherfktnlflnnt condlHOns mntributin¢to Death but not resultingln the underlYingcausegiven In Panl 1). Wasan autopsy Perfarmedl t Q ZOIZ l LCI'N O 'I MaY( G NOS YI ^Yes ~i f . . . r . [. un MOSS ~ n L ~ 18. W<rc autopsy Bndings available Or'I.yL I/IQM hZMI C(,YjUIC l~ C~' / ~ to complete the cause tleath? ^ Yes ~p ~ c 29. If Feprale: Nat pregnant wlthln past Ye>r 30. Oid TobattD Use Contribute tD Death) ~ Yes ^ P obabl 31 M r of Death N t l H i i Pre{nant at time of death y ~ No [J"Unknown a ura ~ om c de ~ Accident ~ Pendin8lnveztl8alion ~ Not pre{non[, but pregnant wlthln a2 days of death ~ Suicide ~ Could not be determined Nat Orelnan[, but pregnant a3 tlays [0 1 year before death 32. Date of Inlury IMP/Day/Yrl (Spell Monthl Unknown l/Pregnant wlthln [he past year 33. Time o/Inlury 3a. Place o/Injury (e.{. home; cons[rurtlon she; farm; uhool) 35. Location of Injury (Street and Number, Ciry, Slate, Zip Cpdel 36. Inlury al Work 3). If Taniporta[lon inlury, Specify'. 3g. Deurlbe How Inlury Occurred'. Yes ^ OrNer/Operator ^ Pedestrian ^ No ^ Passenger ^ Other lSOecifyl I 39x. rtlfler (Check only oriel: ' Certl/ying physician ~ To the best of my knowledge, Death occurred dve to [he ttuselsl antl manner stated ' ^ Pronouritlng & CertlMng physician ~ To the best of mY knowledge, death occurred at the time, daft, and Dlace, antl due to the teasels) and manner stated ' ^ Medical Eaaminer/COron er ~ On the bash o/examination, and/or investlgaFOn, in my opinion, tl e a th pccurretl at the time, date, and place, and due to the ca uu ls) and manner sta[ee ( / l ~ a~ // / SI{nature of certifier. n/'~/~,n~[~/J/J(~[-{~'L'~/)~ Title of certifier. (c/0 License Number. ~E/Y~S7 ~S 39y Name, Address and 21v Cotl<Of Person Completing Cause of Death lit<m I6) 39c. Date Signed IMO/Oay/Vr) 7/ikA1, /Jcb,ebaKSarmO lce/r~aue~A;lve me~x,o-<r/casu,ec,~s 1~ess Oy-/~, orz aD. Rglstrars Dlnnn Number u. Re{h t a2. Reclstrar fne Da! IMO Dav/Yrl a3. Amendments i n rr ' ' rr. `} 7 N ~..} hJ `~ 1 ~} ' ~~ t ,j { _ ~-i __- `.T„1 .. r- ~ ~~ C~~ / u - _- H109-1x3 DisPasition Permit No. G~ 6~ 3 sP J'J __ REV 0)/ZD11 r c:~ WILL QF JQAN G. RIQRDAN ~ ~ ~~ ~-~~-- G "J r ~ [~ I, Joan G. Riordan, of 3807 Candlelight Drive, mpder~„ ~-cZ Township, Cumberland County, Pennsylvania, make this Wil]f:~ -~erebp- ~- .D ~,~ c~ revoking all my former wills and codicils. ~'' 1. All legal debts, funeral expenses, costs of administration of my Estate, estate taxes, inheritance taxes, transfer i~axes and other taxes of a similar nature payable by reason of my death to any government or subdivision thereof upon or with respect to any property subject to any such tax, and any penalties thereon, shall be paid by the Executor out of my residuary estate, and all interest with respect to any such taxes partly, out of the income and partly out of the principal of my Estate, in the absolute discretion of the Executor; provided, however, that the Executor shall not pay any such taxes, penalties or interest attributable to any property included in my Estate solely because of a power of appointment thereover which I possess, and such property shall bear its proportionate share of such taxes, penalties or interest. 2. I give, devise and bequeath all of my Estate, real, personal or mixed, tangible or intangible, of whatever kind and wheresoever situated, together with any property to which I have any power of disposition or appointment and whether acquired during or after my lifetime, to my beloved husband, Thomas, provided he survives me for a period of thirty (30) days. 3. If my husband Thomas predeceases me or dies on or before the thirtieth day after my death, then I give, devise and bequeath his share to my children: James T. of Arlington, Mass., Sara R. Head of Canterbury, NH, J. Matthew of Stonington, CT, Nancy Bowman of Carlisle, David J. of London, England, and Christopher R. of Birmingham, MI, to share and share alike. If any of my children pre-decease me, then their share shall be distributed to his/her issue, per stirpes. 4. I appoint my husband Thomas as Executor of my Will. If my husband is unable or unwilling to act or continue as Executor, for any reason whatever and whether before or after my death, I appoint my son, James T. as successor Executor. 5. No fiduciary under this Will shall be requireci to give bond or other security for the faithful performance of the fiduciary's duties. IN WITNESS whereof, I have hereunto set my hand th_Ls ~1-l~ day of l~ ~ u .~ ,,,~ ~ c ~, 1991. TESTATRIX: Ji JOAN G. RIORDAN 2 .- Signed, sealed, published and declared by the above-named JOAN G. RIORDAN, the TESTATRIX as and for her Will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last written above. WITNESS: Address WITNESS: Address , 3 ,• COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN I, JOAN G. RIORDAN, the TESTATRIX, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Will, and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by JOAN G. RIORDAN, the TESTATRIX, this ~ ~~ day of ~L it?l ,7"i;Z~~Y=~'~ , 1991. TESTATRIX: (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN - ~ _ __ JOAN G. R ORDAN +~~ "\ ~ ~ ~ otary Public Notar•;~ `x3al Renee Dreisba,,; ^dotary Public SS . Hamsburc~, D_~c~,hin C«unty My Commission E -:i: e: ~ zt. t 8, 1 ~~93 We, ~~ ~Ei'~ ~L~C e~ ~ . ~! r~~i~~ ~l !~1 _ and h~~..~ ~' G~1 ~~~~ ~ ~'~~ i~~U~i'~ the witnesses whose names are`~signed to the at~ac~ied or foregoing instrument, being duly qualified according to law, do dE~pose and say that we were present and saw the TESTATRIX sign and execute the instrument as her Will; that the TESTATRIX, signed will~~ngly and executed it as her free and voluntary act for the purpose: therein expressed; that each subscribing witness in the hearing and sight of the TESTATRIX signed the Will as a witness; and that to the best of our knowledge the TESTATRIX was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn -~o or affirmed and subscribed to beforf~ me by witnesses, this d - day of ~ ~ ~'~ ~ L~L . WITNESS: (SEAL) WITNESS: ~~ ~ ~/.~1/\_ otary Public r;,d_~,~,~ ~,~,! Renee Dr-~~ ~:etar;~ Public HBrtisb.~r#, v~~'ai;hin Ccaunty My Cormission Expires C+ct. 18, 1993